Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Brent John Waldman, DDS

Individual provider Dentist · NPI 1295717775

Dr. Brent John Waldman, DDS is a Dentist in Gibsonton, Florida. Licensed in Florida and Virginia. Registered with an NPI since 2005.

Licensed in
FL, VA
In the registry since
2005
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

13145 Kings Lake Dr
Gibsonton, FL 33534-3962
Phone: (843) 789-9738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN28891 (FL)
Dentist Taxonomy 122300000X · Licence 0401410971 (VA)

Record details

NPI number1295717775
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025
Mailing address15231 Merlinglen Pl, Lithia, FL 33547-3900

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